Individual
DR. GARY D KAVONIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10301 GATEWAY BLVD W, EL PASO, TX 79925-7701
(915) 595-9000
Mailing address
PO BOX 201606, DALLAS, TX 75320-1606
(972) 758-3598
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
J0549
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00825875
—
NM
01
—
8U7932
BCBS
TX
01
—
P00323521
RAILROAD
TX
Enumeration date
03/24/2006
Last updated
12/05/2007
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